| Main Street Orthodontics At Baptist Medical Plaza | |
|
8750 Sw 144 St, Suite 205 Miami FL 33176 | |
| (305) 969-3122 | |
| Not Available |
| Full Name | Main Street Orthodontics At Baptist Medical Plaza |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8750 Sw 144 St, Suite 205, Miami, Florida |
| Authorized Official Name and Position | Stephanie Gomez (PROVIDER RELATIONS) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Orthodontics At Baptist Medical Plaza 13195 Sw 134 St 2nd Floor Miami FL 33186 Ph: (305) 274-2499 | Main Street Orthodontics At Baptist Medical Plaza 8750 Sw 144 St, Suite 205 Miami FL 33176 Ph: (305) 969-3122 |
| NPI Number | 1275645616 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275645616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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